FEC Form 1 for GUARDIAN LIFE INSURANCE COMPANY OF AMERICA POLITICAL ACTION COMMITTEE (GUARDIAN LIFE PAC)Form 1 for GUARDIAN LIFE INSURANCE COMPANY OF AMERICA POLITICAL ACTION COMMITTEE (GUARDIAN LIFE PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-792187

1. GUARDIAN LIFE INSURANCE COMPANY OF AMERICA POLITICAL ACTION COMMITTEE (GUARDIAN LIFE PAC)

7 HANOVER SQUARE
C/O EDWARD KANE
NEW YORK, NY 10004
Email: ellie_nieves@glic.co

2. Date: 06/22/2012

3. FEC Committee ID #: C00173393

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

WALTER SKINNER
7 HANOVER SQUARE
NEW YORK, New York 10004

Designated Agent(s):

WALTER SKINNER
7 Hannover Square
New York, New York 10004
Title: Treasurer

Banks or Depositories

JP Morgan Chase
55 Water St.
New York, New York 10004

Signed: WALTER SKINNER
Date Signed: 06/22/2012

FORM TEXT

(End FEC FORM 1)

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